Monday 17 October 2016

Here are the MACRA final rule changes you need to know

“We’re looking to make a long term program successful,” Slavitt said.

Last week, HHS released a barrage of regulations and guidance under it’s various arms. One final rule focused on health IT but the big news centered on CMS’ release of the highly anticipated Medicare Access & CHIP Reauthorization Act of 2105 (MACRA) implementation final rule. The announcement differed somewhat from CMS’ previous releases. For one, the agency gave interested parties the news in the morning hours as opposed to within the happy/witching hour of 4 p.m. at the end of a working week. Another is the agency teamed up with the U.S. Digital Service team to produce an easy-to-use, informative website detailing the program.

Quick MAC-ground

The Medicare program covers about 55 million people, CMS’ acting Administrator Andy Slavitt noted on a call for reporters.

MACRA will eliminate the sustainable growth formula and replace it with a .5% annual rate increase through 2019, after which physicians are encouraged to shift to one of two Quality Payment Programs: 1) Merit-Based Incentive Payment System (MIPS) or 2): Alternative Payment Model (APM).

MIPS sunsets and packages up Meaningful Use, the Physician Quality Reporting System and the Value-Based Payment Modifier where physicians will receive payment adjustments based on quality (via both evidence-based standards and practice-based improvement activities), cost and use of certified EHR technology use. For the full article click here 



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